Effect of early postoperative enteral immunonutrition on wound healing in patients undergoing surgery for gastric cancer
Background & aims: One of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies have shown that arginine improves wound healing in rodents and in healthy human beings. The main objective of this study was to assess t...
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| Published in: | Clinical nutrition (Edinburgh, Scotland) Vol. 24; no. 1; pp. 55 - 65 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Kidlington
Elsevier Ltd
01-02-2005
Elsevier |
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| Abstract | Background & aims: One of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies have shown that arginine improves wound healing in rodents and in healthy human beings. The main objective of this study was to assess the effect of early postoperative enteral immunonutrition on the wound healing process in patients undergoing surgery for gastric cancer.
Methods: Sixty six patients with gastric cancer were randomized to receive early postoperative enteral immunonutrition (formula supplemented with arginine, omega-3 fatty acids and ribonucleic acid (RNA)) or an isocaloric-isonitrogenous control. Assessment of wound healing process: (1) Quantification of hydroxyproline deposition in a subcutaneously placed catheter, (2) occurrence of surgical wound healing complications.
Results: Sixty patients were analyzed. Patients fed with immunonutrion (n=30) showed higher local hydroxyproline levels (59.7nmol (5.0–201.8), vs. 28.0nmol (5.8–89.6) P=0.0018) and significantly lower episodes of surgical wound healing complications (0 vs. 8 (26.7%) P=0.005) when compared to patients fed with the control formula (n=30).
Conclusions: Early postoperative enteral nutrition with a formula supplemented with arginine, omega 3 fatty acids and RNA increased hydroxyproline synthesis and improved surgical wound healing in patients undergoing gastrectomy for gastric cancer. |
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| AbstractList | BACKGROUND & AIMSOne of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies have shown that arginine improves wound healing in rodents and in healthy human beings. The main objective of this study was to assess the effect of early postoperative enteral immunonutrition on the wound healing process in patients undergoing surgery for gastric cancer.METHODSSixty six patients with gastric cancer were randomized to receive early postoperative enteral immunonutrition (formula supplemented with arginine, omega-3 fatty acids and ribonucleic acid (RNA)) or an isocaloric-isonitrogenous control. Assessment of wound healing process: (1) Quantification of hydroxyproline deposition in a subcutaneously placed catheter, (2) occurrence of surgical wound healing complications.RESULTSSixty patients were analyzed. Patients fed with immunonutrition (n=30) showed higher local hydroxyproline levels (59.7 nmol (5.0-201.8), vs. 28.0 nmol (5.8-89.6) P=0.0018) and significantly lower episodes of surgical wound healing complications (0 vs. 8 (26.7%) P=0.005) when compared to patients fed with the control formula (n=30).CONCLUSIONSEarly postoperative enteral nutrition with a formula supplemented with arginine, omega 3 fatty acids and RNA increased hydroxyproline synthesis and improved surgical wound healing in patients undergoing gastrectomy for gastric cancer. Background & aims: One of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies have shown that arginine improves wound healing in rodents and in healthy human beings. The main objective of this study was to assess the effect of early postoperative enteral immunonutrition on the wound healing process in patients undergoing surgery for gastric cancer. Methods: Sixty six patients with gastric cancer were randomized to receive early postoperative enteral immunonutrition (formula supplemented with arginine, omega-3 fatty acids and ribonucleic acid (RNA)) or an isocaloric-isonitrogenous control. Assessment of wound healing process: (1) Quantification of hydroxyproline deposition in a subcutaneously placed catheter, (2) occurrence of surgical wound healing complications. Results: Sixty patients were analyzed. Patients fed with immunonutrion (n=30) showed higher local hydroxyproline levels (59.7nmol (5.0–201.8), vs. 28.0nmol (5.8–89.6) P=0.0018) and significantly lower episodes of surgical wound healing complications (0 vs. 8 (26.7%) P=0.005) when compared to patients fed with the control formula (n=30). Conclusions: Early postoperative enteral nutrition with a formula supplemented with arginine, omega 3 fatty acids and RNA increased hydroxyproline synthesis and improved surgical wound healing in patients undergoing gastrectomy for gastric cancer. One of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies have shown that arginine improves wound healing in rodents and in healthy human beings. The main objective of this study was to assess the effect of early postoperative enteral immunonutrition on the wound healing process in patients undergoing surgery for gastric cancer. Sixty six patients with gastric cancer were randomized to receive early postoperative enteral immunonutrition (formula supplemented with arginine, omega-3 fatty acids and ribonucleic acid (RNA)) or an isocaloric-isonitrogenous control. Assessment of wound healing process: (1) Quantification of hydroxyproline deposition in a subcutaneously placed catheter, (2) occurrence of surgical wound healing complications. Sixty patients were analyzed. Patients fed with immunonutrition (n=30) showed higher local hydroxyproline levels (59.7 nmol (5.0-201.8), vs. 28.0 nmol (5.8-89.6) P=0.0018) and significantly lower episodes of surgical wound healing complications (0 vs. 8 (26.7%) P=0.005) when compared to patients fed with the control formula (n=30). Early postoperative enteral nutrition with a formula supplemented with arginine, omega 3 fatty acids and RNA increased hydroxyproline synthesis and improved surgical wound healing in patients undergoing gastrectomy for gastric cancer. |
| Author | Artigas, Vicenç González, José A. Rius, Xavier Farreras, Núria Cardona, Daniel Trias, Manel |
| Author_xml | – sequence: 1 givenname: Núria surname: Farreras fullname: Farreras, Núria email: nfarreras@yahoo.es organization: Department of Surgery, Hospital de la Creu Roja, L’Hospitalet de Llobregat, Avenida Josep Molins 29-41, Barcelona, Spain – sequence: 2 givenname: Vicenç surname: Artigas fullname: Artigas, Vicenç organization: Department of Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain – sequence: 3 givenname: Daniel surname: Cardona fullname: Cardona, Daniel organization: Pharmacy Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain – sequence: 4 givenname: Xavier surname: Rius fullname: Rius, Xavier organization: Department of Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain – sequence: 5 givenname: Manel surname: Trias fullname: Trias, Manel organization: Department of Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain – sequence: 6 givenname: José A. surname: González fullname: González, José A. organization: Department of Surgery, Hospital de la Creu Roja, L’Hospitalet de Llobregat, Avenida Josep Molins 29-41, Barcelona, Spain |
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| Keywords | Immunonutrition Wound healing Enteral nutrition Gastrectomy Postoperative feeding Gastric cancer Human Postoperative Nutrition Patient Malignant tumor Stomach cancer Wound Enteral administration Healing agent Surgery Digestive diseases Early Gastric disease |
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| Snippet | Background & aims: One of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies... One of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies have shown that... BACKGROUND & AIMSOne of the most frequent complications in patients with cancer and malnutrition is the surgical wound healing delay or failure. Some studies... |
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| SubjectTerms | Aged Arginine - therapeutic use Biological and medical sciences Double-Blind Method Enteral Nutrition Fatty Acids, Omega-3 - therapeutic use Female Gastrectomy Gastric cancer Gastroenterology. Liver. Pancreas. Abdomen Humans Hydroxyproline - biosynthesis Immunonutrition Immunotherapy - methods Male Medical sciences Metabolic diseases Postoperative Care - methods Postoperative Complications - epidemiology Postoperative feeding Prospective Studies RNA - therapeutic use Stomach Neoplasms - surgery Stomach Neoplasms - therapy Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors Wound healing Wound Healing - drug effects |
| Title | Effect of early postoperative enteral immunonutrition on wound healing in patients undergoing surgery for gastric cancer |
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